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Respiratory Therapist/Questions
| Subject | Date Asked | Expert |
| pneumonia | 2/3/2012 | Larry W. Wical, BA-RRT |
| Q: i am 19 and i have exercise induced asthma. i am also a runner and swimmer and i have had pneumonia ... A: Based on your young age and overall health and activity level, it is reasonable for me to say that ... | ||
| Asthma or respiratory problem | 1/31/2012 | Larry W. Wical, BA-RRT |
| Q: my son is 4 and half years old. regular weight. he has started to go school from this month. for ... A: My apologies for taking so long to answer your question, I usually get back to people within 12-24 ... | ||
| asthma | 1/27/2012 | Larry W. Wical, BA-RRT |
| Q: Does asthma cause type 1 or 2 respiratory failure. If it initially causes 1, then 2, can you ... A: From a clinical perspective, respiratory failure occurs when the respiratory system fails in one or ... | ||
| lungs | 1/16/2012 | Larry W. Wical, BA-RRT |
| Q: i was wondering if you could interperate something for me from my chest x ray that i didnt ... A: Sorry for the delayed response, usually I respond within 12-24 hours. Without knowing your full ... | ||
| lungs | 1/16/2012 | Richard Manlove |
| Q: i was wondering if you could interperate something for me from my chest x ray that i didnt ... A: Interesting wording for your chest x-ray (CXR) report. Generally, our reports would say something ... | ||
| paralyzed diaphragm exercises | 12/26/2011 | Larry W. Wical, BA-RRT |
| Q: My right diaphragm is paralyzed from inflammation in lymph nodes related to systemic sarcoidosis. I ... A: In my opinion (opinions of professionals in this field will vary) this is a very challenging medical ... | ||
| Nosebleeds | 12/24/2011 | Larry W. Wical, BA-RRT |
| Q: I have been getting nosebleeds for the past 5 years or so. I have tried nearly everything that I ... A: Lola, Merry Christmas, and thank you for taking time to entrust me with your medical question. ... | ||
| Hard time catching breath | 12/19/2011 | Larry W. Wical, BA-RRT |
| Q: There are time to where where I have a hard time catching my breathe. There is No Wheezing, No ... A: I sincerely enjoy helping people further understand their conditions and will do my best to make ... | ||
| normal? | 12/17/2011 | Larry W. Wical, BA-RRT |
| Q: is it normal to get sick more often as one gets older and what can be done to lessen the severity of ... A: and sorry for taking a couple days to respond. Usually I respond within 12-18 hours, but have been ... | ||
| upper respiratory infections | 12/17/2011 | Richard Manlove |
| Q: if one gets upper respiratory infections often is that a sign of something serious?I just dont ... A: Greetings, My apologies for the late reply. Internet issues at the workplace and the busyness ... | ||
| Chronic cough | 12/16/2011 | Larry W. Wical, BA-RRT |
| Q: My husband has had a chronic cough off and on for about 2 years. He has seen a pulmonologist which ... A: Evelyn, Thank you for entrusting me to provide you some info relevant to your husband's health, and ... | ||
| breathing difficulty tests done no help | 12/10/2011 | Larry W. Wical, BA-RRT |
| Q: I am asking for my dad. He had bypass surgery in 2001 and had a heart attack in 2004. He was ... A: Maria, Thank you for entrusting me to provide you some info relevant to your father's health, and ... | ||
| Asthma | 12/10/2011 | Larry W. Wical, BA-RRT |
| Q: This ear I was told that I have mild asthma.Well it seems worse than mild.When I bend over to pick ... A: and sorry for taking a couple days to respond. Usually I respond within 12-18 hours, but have been ... | ||
| the law on respiratory therapist | 12/10/2011 | Larry W. Wical, BA-RRT |
| Q: I would like to know what the law is in regards to how many patients a respiratory therapist can be ... A: .. sorry for taking a couple days to respond. Usually I respond within 12-18 hours, but have been ... | ||
| pa02/fi02 ratio | 12/6/2011 | Rob Trusty |
| Q: blood gases: ph 7.22 pC02 84mmHg HC03 34mEq/L p02 39mmHg pt on 100% rebreathing mask what is my ... A: Calculating the PaO2/FiO2 ratio or PF ratio is fairly easy. The formula is Pao2 divided by the FiO2 ... | ||
| 28 years male shortness of breath and sounds in lungs | 11/30/2011 | Larry W. Wical, BA-RRT |
| Q: I am 28 years old ,1.73 height , 70kg I was a smoker for around 6-7 years, on average half to one ... A: Thomas, Thank you for all the information you have provided me with; the more info I have to work ... | ||
| Respiratory Questions | 11/29/2011 | Rob Trusty |
| Q: What is the most challenging part of being a Respiratory Therapist? And what's the best part of the ... A: Sometimes the most challenging part can be trying to figure out what is wrong with your patient and ... | ||
| repiratory problems | 11/28/2011 | Larry W. Wical, BA-RRT |
| Q: Can a full meal affect the heart and the lungs? If I eat and I fill very full, can it modify the ... A: Gheorghe, Thank you for taking the time to entrust me with your medical questions. The short ... | ||
| mucus in chest | 11/25/2011 | Larry W. Wical, BA-RRT |
| Q: I have problems of mucus in chest when i wake up in morning, i have also nasal allergy, and ... A: Based on what I am gathering, you occasionally get short of breath and your doctor concluded that ... | ||
| mucus in chest | 11/24/2011 | Larry W. Wical, BA-RRT |
| Q: I have problems of mucus in chest when i wake up in morning, i have also nasal allergy, and ... A: Good afternoon, Thank you for trusting me to address your respiratory-related question today. It ... | ||
| General Health | 11/12/2011 | Larry W. Wical, BA-RRT |
| Q: Background: My daughter is 20 yrs old. At age around age 16 she was diagnosed with Reynauds as she ... A: There are Internal Med docs (Internists or Hospitalists) who see patients with a very broad degree ... | ||
| General Health | 11/5/2011 | Larry W. Wical, BA-RRT |
| Q: Background: My daughter is 20 yrs old. At age around age 16 she was diagnosed with Reynauds as she ... A: Good afternoon, Thank you for entrusting me with this interesting medical query. Though I am a ... | ||
| Problems breathing | 10/20/2011 | Richard Manlove |
| Q: Back in 2007 when I first joined the Air Force, I started having a breathing problem. It started in ... A: Tracy, Having problems breathing, whether physical or psychological, is a distressing condition ... | ||
| breathing problems | 10/12/2011 | Richard Manlove |
| Q: I hope that my question is not too far outside of your expertise, as I don't know where else to go. ... A: Joanna, I am sorry for the delay. You certainly have an unusual problem. Your inability to ... | ||
| breathing problems | 10/12/2011 | Larry W. Wical, BA-RRT |
| Q: I hope that my question is not too far outside of your expertise, as I don't know where else to go. ... A: Good Morning, The solution to your particular complaint will be a challenge to pin down, as it ... | ||
| Wheezing post procedures | 10/8/2011 | Richard Manlove |
| Q: Patient is two yrs.+ post surgical (now 80) for perforated ulcer, vagotomy (cut vagus nerve) ... A: Your mother certainly has been through it all. It is not at all surprising that she has had several ... | ||
| Heavy Breathing | 10/4/2011 | Larry W. Wical, BA-RRT |
| Q: first of all thanks for the website where we can ask questions depending upon the problems. I am ... A: Sorry for the confusion, I feel we may be having some difficulty overcoming a language barrier. That ... | ||
| Heavy Breathing | 10/3/2011 | Larry W. Wical, BA-RRT |
| Q: first of all thanks for the website where we can ask questions depending upon the problems. I am ... A: Good afternoon. Without knowing your age, past medical history, etc., it would be challenging for me ... | ||
| Smell of cigarette on person | 9/25/2011 | Richard Manlove |
| Q: I'm currently going to university and I have to sit next to a smoker. He is not a heavy smoker, but ... A: Johnny, Let me apologize for the late response. I am having e-mail issues. You have my ... | ||
| Respiration problems | 9/14/2011 | Richard Manlove |
| Q: From my childhood i am having a big problem. whenever i have an icecream or i play in rain in the ... A: Greetings, I apologize for the delay in answering. I am having e-mail issues. I would ... | ||
| Breathing in the morning | 9/12/2011 | Richard Manlove |
| Q: I'm 27 years old, no health problems. I am fairly healthy, I exercise regularly, and am trying to ... A: Nick, So sorry for the delay. E-mail is really screwed up. Congrats on the cutting down on ... | ||
| Lungs | 8/23/2011 | Richard Manlove |
| Q: If I have bleach in my toilet bowl(for cleaning purposes) and accidentally urinate in it before ... A: Oscar, Checked with some chemists and it seems possible that a reaction could occur (something ... | ||
| allergies & asthma? | 8/7/2011 | Richard Manlove |
| Q: before I ask the question, Ill give an overview first. -started July 18th -started with: a throat ... A: H- I will try to answer your letter in the order in which it was written. If you have the ... | ||
| visiting a friend with CF | 8/5/2011 | Rob Trusty |
| Q: A friend with Cystic Fibrosis is in the hospital. I got an email today from his family say that he ... A: Most likely he is in the ICU but could be on the regular floors. It all depends on the hospital and ... | ||
| allergies & asthma? | 8/1/2011 | Richard Manlove |
| Q: before I ask the question, Ill give an overview first. -started July 18th -started with: a throat ... A: , So sorry for the delay. Perhaps you have already gone in for the follow-up appointment. ... | ||
| allergic rhinitis | 7/14/2011 | Richard Manlove |
| Q: I am suffering from allergic rhinitis and want to ask that can i use perfume? can perfume create ... A: Perfume usually does not cause sinus problems. You can easily verify that by using some and see if ... | ||
| ABG quality controls | 7/12/2011 | Richard Manlove |
| Q: our dept. has a Opti-4 instrument, but i am having difficulty in laboratory taking over quality ... A: Diane, According to CLIA and JCOAHCO the same individuals that do the analyzing must do the ... | ||
| Proper Nebulizer Use | 7/2/2011 | Karel Sleis |
| Q: My 63 year old husband has COPD & moderate Emphysema treated with Advair, Combivent and a Nebulizer ... A: Unless he uses it as directed its useless. if it calls for one vial every 6 hours thats what it ... | ||
| Determining ARDS | 6/19/2011 | Richard Manlove |
| Q: I just want to know whether we can determine ARDS without using ABG sampling in the case we do not ... A: A good question. I often teach nurses critical care and ventilators and I always remind them not to ... | ||
| M. Pneumoniae while pregnant | 6/10/2011 | Richard Manlove |
| Q: Dr. Manlove, I am writing today because I have just been diagnosed with Mycoplasma Pneumoniae and ... A: I apologize with the tardiness of this reply to your concern. I was busy last week assisting the ... | ||
Respiratory Therapist
Answers by Expert:
Larry W. Wical, BA-RRT
Top Expert on this page
Expertise
I CAN answer: ALL questions and queries related to the following topics... - Oxygen - Asthma - COPD - Bronchitis - Emphysema - Pneumonia (Viral/Bacterial) - Tuberculosis (TB) - SARS - Influenza (Flu) - Vaccines - Pulmonary Embolism - Pleural Effusion - Atelectasis - Inhalation injuries (burns, chemicals, etc.) - PFTs - Cardiovascular health - Sleep Apnea - BiPap/CPAP - Ventilators (Respirators) - Aspiration injuries - Thoracic injuries - Lung contusions - Tracheal injuries - Artificial Tracheostomy - Secretions - Prolotherapy/Regenerative Injection Therapy (RIT): A patient's experience/perspective - General health and fitness - Prolotherapy (from a patient's perspective) I CANNOT answer: Questions that vary too far from my primary scope of pulmonary and cardiovascular care and fitness. I promise to be open and honest about my knowledge of submitted topics, and will always openly provide my personal as well as professional feedback as it relates.
Experience
Registered Respiratory Therapist (RRT, RCP) since 2005. I have worked primarily in the acute care, critical care, home care and burn care settings.
Organizations
NBRC - National Board of Respiratory Care
AARC - American Association of Respiratory Care
Publications
-All About Kids Magazine
-The Clermont Sun
-Cincy Sports & Fitness Magazine
-Many online Fitness and Health blogs and webazines
Education/Credentials
- B.A. in Communication (1997)
- A.A.S. in Respiratory Science (2005)
- RRT license (state of OH, KY and IN)
- Basic Life Saving (BLS)
- Advanced Cardiovascular Life Support (ACLS)
- Advanced Burn Life Support (ABLS)
Awards and Honors
N/A
Past/Present Clients
Currently work in the city's largest academic/research hospital.
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